Individual provider Active NPI

Lisa Marie Verbos, LPC, BCBA

  • Mental Health Counselor
  • Linglestown, PA
National Provider Identifier
1114254950
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC007524 Issued in PA
Practice address
4400 Linglestown Rd Ste 208
Linglestown, PA 17112-8562
Phone
(717) 350-1482
NPI assigned
Nov 16, 2009
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC007524 PA Primary
Behavior Analyst 103K00000X 1-08-4842 PA

Addresses

Primary practice location

4400 Linglestown Rd Ste 208
Linglestown, PA 17112-8562

Mailing address

6 Farm House LN
Camp Hill, PA 17011-8349
Phone (717) 350-1482

Other practice location 1

1216 Edinburg Cir
New Cumberland, PA 17070-2248
Phone (717) 350-1482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC007524PAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1114254950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FARM HOUSE LN",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170118349",
            "telephone_number": "717-350-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 LINGLESTOWN RD STE 208",
            "city": "LINGLESTOWN",
            "state": "PA",
            "postal_code": "171128562",
            "telephone_number": "717-350-1482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 Edinburg Cir",
            "address_purpose": "LOCATION",
            "city": "New Cumberland",
            "state": "PA",
            "postal_code": "170702248",
            "country_code": "US",
            "telephone_number": "717-350-1482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERBOS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007524",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-08-4842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linglestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.